266574 Expanding hormone-free options: Integrating CycleBeads® through a participatory approach

Tuesday, October 30, 2012

Katherine Cain, MPH , Institute for Reproductive Health, Georgetown University, Washington, DC
Marsha Gelt, MPH , Cardea Services, Oakland, CA
Myriam Jennings, MA , John Snow, Inc., Boston, MA
Irit Sinai, PhD , Institute for Reproductive Health, Georgetown University, Washington, DC
High rates of contraceptive discontinuation and unwanted pregnancies suggest that additional family planning options are needed. The availability and use of fertility awareness-based methods (FAM) are low, yet many women desire a non-hormonal, noninvasive method. To expand choice and meet the needs of these women and their partners, the Standard Days Method® (SDM) was integrated into the family planning services of five health centers in California and Massachusetts, beginning with a needs assessment and followed by evaluation research. SDM, used with CycleBeads®, is an effective FAM that can be taught in a short time. Community focus groups (n=50 participants) and staff interviews (n=30) conducted during the needs assessment revealed potential demand for FAM within each community and provider willingness to offer SDM. Utilizing needs assessment results, an introduction strategy was tailored to each setting. Results of post-introduction interviews with staff (n=25) and clients (n=41) indicate that after an initial learning curve, staff found SDM easy to teach and wanted to continue offering it. Clients chose SDM because it had no hormones or side effects and reported a high degree of satisfaction (100% of continuing users) and improvement in their partner relationship (40%) as a result of SDM use. However, the low number of users indicated by service statistics, and the fact that 93% of users first heard about SDM from the health center, suggest that more efforts are required to raise awareness so potential clients know to ask for the method and staff remember to offer it.

Learning Areas:
Conduct evaluation related to programs, research, and other areas of practice
Program planning

Learning Objectives:
1. List strategies and tools for integrating the SDM with CycleBeads into existing family planning services. 2. Describe provider perspectives on SDM after the method was integrated into five clinics. 3. Describe client perspectives on SDM, including why they choose CycleBeads, how they manage their fertile days, and the most common reason for method discontinuation. 4. Identify barriers to offering SDM with CycleBeads and strategies to overcome them.

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have managed two federally-funded grants on the topic of improving family planning service delivery, including new method integration. Among my scientific interests has been how expanding method choice influences programs and helps prevent unwanted pregnancies.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

Back to: 4373.0: PRSH Posters: Innovation